HealthCare Provider Taxonomy Codes Lookup

Updated on July 01, 2023. Version 23.1

Healthcare Taxonomy Codes are used for a variety of reasons which include specialization of health care providers, classification, and type. The Healthcare Taxonomy Set is designed in a hierarchical order that consists of definitions, descriptions, and codes.

The taxonomy code set is updated and published semi annually in January and July of each year. The January publication is available to be used in April and the July release is available to be used in October of that year. The implementation period is the elapsed time between the release date and the effective date. This time allows for vendors, payers, and providers the chance to incorporate all changes into their platforms and systems.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]